Giant left and right Atrium in rheumatic mitral stenosis and tricuspid regurgitation

Anandan, Prem Krishna; Shukkarbhai, Patel Jigarkumar; Cholenahally, Manjunath Nanjappa

doi:10.4103/2211-4122.172490

Cited by 3 publications

(1 citation statement)

References 6 publications

(9 reference statements)

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“…Patients with an enlarged RA can be asymptomatic, but symptoms, when reported, are related to the underlying left and RV dysfunction and include dyspnea, fatigue and edema—as seen in our patient. In addition, patients with a giant RA are at higher risk for atrial arrhythmias, thrombus formation and left recurrent laryngeal palsy (Ortner’s syndrome) [ 9 ]. Available surgical management options include size-reducing atrioplasty and tricuspid valve annuloplasty for TR.…”

Section: Discussionmentioning

confidence: 99%

Giant right atrium: a long-term complication of rheumatic heart disease

Abugroun

Taha

Daoud

et al. 2020

Oxford Medical Case Reports

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Giant right atrium (RA) is a rare entity often seen during childhood due to congenital anomalies. Limited literature has reported such finding in patients with rheumatic valvular heart disease. Here we present a case of a 68-year-old female with a history of rheumatic valve disease treated with a Starr Edwards mechanical ball-in-cage mitral valve replacement and tricuspid valve annuloplasty ring procedures. The patient developed heart failure and had multiple hospital admissions over three decades for heart failure exacerbations mostly triggered by medication and dietary non-compliance. She eventually developed a giant RA that filled most of her thorax. This case demonstrates an extreme form of cardiac remodeling caused by long-term rheumatic valvular heart disease.

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Section: Discussionmentioning

confidence: 99%

Giant right atrium: a long-term complication of rheumatic heart disease

Abugroun

Taha

Daoud

et al. 2020

Oxford Medical Case Reports

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Giant right and left atrium: spectrum of rheumatic triple valve disease (double hit with double impact): a case report and review of the literature

Karuru,

Tummala,

Gautam

et al. 2024

Egypt Heart J

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Background Rheumatic heart disease (RHD) continues to pose a significant burden on global health, particularly in socioeconomically disadvantaged populations. We present the case of a 38-year-old woman with severe multivalvular RHD and giant atria, highlighting the challenges and complexities of managing this condition. Case presentation The patient presented with progressively worsening dyspnoea, signs of right heart failure, and severe valvular abnormalities. Diagnostic evaluations revealed severe mixed mitral valve disease in the form of mitral stenosis and regurgitation, along with involvement of the aortic and tricuspid valves, leading to significant enlargement of both atria. Despite facing socioeconomic constraints and poor adherence to treatment, the patient underwent successful surgical intervention, resulting in remarkable symptomatic improvement. Conclusions Through this case, we emphasise the importance of early detection, comprehensive management strategies, and multidisciplinary care in addressing the complexities of RHD. Despite the challenges posed by socioeconomic disparities, positive outcomes can be achieved with timely diagnosis and appropriate intervention. This case underscores the need for targeted efforts to improve access to healthcare resources and reduce the global burden of RHD.

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Rheumatic Giant Left Atrium—An Overview

Muthiah¹

2017

CRCM

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Aim: To present the aneurysmal dilatation of left atrium due to rheumatic mitral valve disease and its clinical consequences such as arrhythmic, thromboembolic and compressive manifestations. Introduction: Extreme enlargement of left atrium, usually referred to as giant, gigantic or aneurysmal dilatation is an uncommon finding with a reported incidence of 0.3% in rheumatic heart disease. It is an important clinical risk identifier to predict the outcome of cardiovascular disease. Case reports: Aneurysmal left atrium correlating with the length of pure mitral regurgitation jet in a 18-year-old girl, posterior mitral leaflet prolapse with regurgitation jet swirling around the entire interatrial septum in a 37-year-old male, Giant left atrium in mixed mitral valve disease in a 37-year-old female and a thrombosed giant left atrium resembling as "coconut" in a 50-year-old female were reported. Conclusion: Giant left atrium may be misinterpreted as right-sided pleural effusion, pericardial effusion and mediastinal tumor on X-ray chest and so echocardiographic evaluation is mandatory to exclude the aneurysmal left atrium in such conditions.

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Giant left and right Atrium in rheumatic mitral stenosis and tricuspid regurgitation

Cited by 3 publications

References 6 publications

Giant right atrium: a long-term complication of rheumatic heart disease

Giant right atrium: a long-term complication of rheumatic heart disease

Giant right and left atrium: spectrum of rheumatic triple valve disease (double hit with double impact): a case report and review of the literature

Rheumatic Giant Left Atrium—An Overview

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